I, First Name* Last Name*, am the owner of * & hereby give LNJ Enterprises, LLC permission to act on my behalf in performing the duties I have purchased. I understand if LNJ Enterprises did not setup my authority & does not perform monthly maintenance on my behalf there is not a 100% guarantee of passing the new entrant audit. I will provide any additional information within a timely manner (48HRS of it being requested). Any correspondences will be through email (COMPLIANCE@LNJENT.ORG) The information I have provided LNJ Enterprises is true. I understand LNJ Enterprises is not liable for any false information provided, as they will only submit what I have placed on this document. I understand there is a no refund policy. Signature*
Please click one of the PayPal options to complete payment and submit the form.